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Sudden death in athletes is a global problem. Although it is a
relatively rare phenomenon (1/100,000 persons), when it does occur,
it is often as an incomprehensible event. In fact, it strikes
subjects who presumably should be much healthier than the general
population. In the previous 20 years, many authors have studied
this problem in an attempt to understand the causes and prevent
these events, and it has been determined that, in the vast majority
of cases, athletes who die suddenly have an underlying heart
disease (arrhythmogenic cardiomyopathy, hypertrophic
cardiomyopathy, coronary anomalies, channelopathies, etc.).In most
cases these diseases do not produce major symptoms and do not
preclude sports activity even at the highest levels, although they
do increase the incidence of sudden death. How to discover these
diseases in asymptomatic athletes is a hotly debated issue. In
particular, there is controversy as to whether all athletes should
undergo detailed medical screening, including electrocardiogram, or
whether the costs of this screening are too high in relation to the
event incidence. The purpose of this book is to accurately analyze
the causes of sudden death in athletes and to provide cardiologists
and sports physicians with useful tips on how to identify at-risk
individuals.
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